Komorbiditet kod problematičnih konzumenata droga i tretmanske intervencije

master's thesis

• Title (english): Comorbidity in problem drug users and treatment interventions
• Author: Lorena Rukav
• Mentor: Ksenija Butorac (mentor)
• Mentor: Anita Jandrić Nišević (mentor)
• Committee member: Ksenija Butorac (predsjednik povjerenstva)
• Committee member: Anita Jandrić Nišević (član povjerenstva)
• Committee member: Ljiljana Mikšaj-Todorović (član povjerenstva)
• Granter: University of Zagreb; Faculty of Education and Rehabilitation Sciences; Zagreb
• Defense date and country: 2017-09-15, Croatia
• Scientific / art field, discipline and subdiscipline: SOCIAL SCIENCES; Education/Rehabilitation Sciences

Abstract

Zlouporabom ilegalnih droga, ali i prekomjernim uzimanjem legalno propisanih psihofarmaka nastaju štetne posljedice povezane s ozbiljnim javnozdravstvenim problemima, što predstavlja ključno pitanje nacionalne i međunarodne politike suzbijanja ovisnosti o psihoaktivnim sredstvima. Stoga, istodobna pojavnost problematične upotrebe droga i psihičkih poremećaja nerijetko stvara težu kliničku sliku i pridružene socijalne teškoće u različitim područjima života osobe radi čega je neophodno usmjeravanje snaga i napora zajednice za njihovo rješavanje. Između ostalog, u radu se razmatraju determinante odnosa između psihičkih poremećaja i poremećaja izazvanih zlouporabom droga kroz analizu rizičnih čimbenika. Rad sadrži sustavan pregled dosadašnjih istraživanja koja se odnose na obilježja pojedinih psihičkih poremećaja u komorbiditetu s problematičnom upotrebom droga te kratki prikaz dijagnostičkih instrumenata i kvalitete sustava zdravstvene skrbi za osobe s dualnim poremećajem u Europskoj uniji i šire. Dobiveni podaci ukazuju na znatnu zastupljenost dualnog poremećaja u ovisničkoj populaciji, a osobito unutar marginalnih skupina, kao i važnost sveukupne procjene bio-psiho-socijalnih obilježja korisnika tretmana. Analizirajući uvjete korištenja dijagnostičkih instrumenata za utvrđivanje dualne dijagnoze može se ustanoviti kako ih socijalni pedagozi zadovoljavaju ako ustanova u kojoj rade odobrava takve postupke. Vezano uz tretman dualnog poremećaja, teoretičari i praktičari se do danas nisu usuglasili u pogledu modela dobre prakse, bilo da je riječ o farmakološkom i/ili psihosocijalnom tretmanu. Međutim, recentna istraživanja i spoznaje ukazuju na potrebu provođenja integrativnog pristupa tretmanu u sklopu kojeg treba koristiti farmakološke i psihosocijalne intervencije. S obzirom da su u cjelini istraživanja dualnog poremećaja kod ovisnika nedostatna, a u Hrvatskoj gotovo i ne postoje, postoji potreba za daljnjim istraživačkim naporima u ovom području radi poboljšanja postojećih preventivnih i tretmanskih smjernica.

Abstract (english)

Illegal drug abuse, in addition to excessive use of legally prescribed medications for treating mental disorders, lead to harmful consequences associated with severe health issues which raise a crucial question of national and international politics of psychoactive substance abuse suppression. Therefore, concurrent substance-related disorders and mental illnessess often result in a severe clinical condition and associated social difficulties in various aspects of a person’s everyday life. Consequently, careful consideration of such problems and addressing them is imperative. This paper, in addition to other related issues, considers causal relations between psychological disorders, and disorders caused by drug abuse by means of risk factor analysis. The aim of this paper is to provide a systematic review of characteristics of specific psychological disorders in comorbidity with problem drug use, a brief review of diagnostic instruments and quality of health care system for individuals diagnosed by dual disorders in the European Union. The paper consists of the analysis of previous research pertaining to dual disorders across the European Union and beyond. The collected data indicate a considerable presence of dual disorders in the addict population, especially within marginal groups, as well as the importance of the overall evaluation of biopsychosocial characteristics of patients under treatment. Analyzing the conditions of diagnostic instruments usage in order to determine dual diagnosis enables establishing a variety of models in which social pedagogues meet those conditions in institutions where employers allows it. Regarding the dual disorder treatment, theoreticians and practitioners have not reached consensus on the models of good practice yet related to either pharmacological or/and psychosocial treatment. However, recent researches and understanding indicate the necessity of implementing an integrative approach to the treatment within which both pharmacological and psychosocial interventions should be used. Considering the fact that overall knowledge of dual disorders in addicts are insufficient, in Croatia they almost do not exist particularly, hence there is a necessity for further investigation in this area for the sake of development of the already existing preventive and treatment guidelines.

• Keywords: dualni poremećaj; epidemiologija; rizični čimbenici; dijagnostički instrumenti; modeli tretmana
• Keywords (english): dual disorder; epidemiology; risk factors; diagnostic instruments; treatment models
• Language: croatian
• URN:NBN: urn:nbn:hr:158:099780
• Study programme: Title: Social Pedagogy; Study programme type: university; Study level: graduate; Academic / professional title: magistar/magistra socijalne pedagogije (magistar/magistra socijalne pedagogije)
• Type of resource: Text
• File origin: Born digital
• Access conditions: Open access
• Created on: 2018-04-30 09:34:42